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Medicina Interna

Print version ISSN 0872-671X

Abstract

BESTEIRO, Bruno et al. Short Bowel Syndrome: A Complex Management Condition - A Case Report and Literature Review. Medicina Interna [online]. 2021, vol.28, n.1, pp.32-38.  Epub Mar 15, 2021. ISSN 0872-671X.  https://doi.org/10.24950/cc/286/20/1/2021.

Short bowel syndrome (SBS) is characterized by a state of macro and micronutrient malabsorption which usually develops after small bowel resection. There is a weakly correlation between the amount of resected intestine and the clinical symptoms with the adaptation of bowel structure and function. We report a case of a 59-year-old man, who underwent a 100 cm small bowel resection developing malabsorption syndrome afterwards. Throughout the 95 days spent in hospital many complications of SBS with complex management arose. Although the patient was expected to have a poor prognosis, his nutritional status improved significantly through continuous parenteral and enteral nutrition. At discharge he had recovered carrying a 9 kg weight gain. SBS is a non-common disease reported in the literature as being a complex entity. The aim of this case is to report the process of the patient´s recovery and to provide a review of the physiopathology of this entity.

Keywords : Enteral Nutrition; Parenteral Nutrition; Short Bowel Syndrome/therapy.

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